Nyack Hospital's Code H Spells Safety and Satisfaction | New Jersey Nursing News

Nyack Hospital, Nyack, N.Y., has launched a system where patients and their visitors can trigger levels of rapid response. Impetus for the innovation came after the well-publicized medical error that ended in the death of 18-month-old Josie King at Johns Hopkins in Baltimore, Md., and the resulting focus on patient and family involvement in acute care.

Although patients and families can use the system to alert staff about potential emergency situations, such as chest pain, it also offers the reassurance that help is nearby. This is in case patients experience delays in bedside care, pain medications, and more, according to Ginni Norton, RN, MS, Nursing Performance Improvement, Nyack Hospital, a member of the NewYork-Presbyterian Healthcare System.

A team approach

Nyack Hospital patients and their visitors can call 3-1-1-1, which goes directly to hospital operators. The operators have been trained to ask callers questions according to an algorithm. Callers who report something physiological, such as bleeding or chest pain, are be routed immediately to rapid response. The call can trigger a team, including the nurse manager from the patient's unit, house physician, respiratory therapist, critical care nurse, and pharmacist.

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